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...Utilization Review Analyst
Job Details
Job Location
Bronx, NY
Position Type
Full Time
Education Level
4 Year Degree
Salary Range
$45,000.00 - $50,000.00 Salary/year
Travel Percentage
Up to 25%
Job Shift
Day
Job Category
Nonprofit...
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...documentation, recommends and assigns appropriate level of care. The Reviewer is responsible for obtaining the order for appropriate level... ...and treatment concepts, one year of which has been served in Utilization Review/Quality Assurance; or,
2. Certification as an...
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Immediate start
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Overview:
The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and HackensackUMC. These include but are not limited...
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...regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions... ...Center.
c. Ensures that staff have MCG training modules to review as needed.
Growth
Uses MCG Guidelines as a coaching...
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...Job Description
Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for...
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...engineering firm located in Elmwood Park, New Jersey is seeking a Senior Utility Engineer to join our team. As a Senior Utility Engineer, you... ...utility relocation conflicts on infrastructure projects.
Review and provide feedback on Utility Owner design submittals....
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Relocation
...Castle County and northern Maryland.
Visit us online:
Rockford Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
Completes pre-certs and concurrent reviews as assigned, on appropriate day and...
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...regulatory requirements.
OQA&FI is recruiting for (2) two Principal Administrative Associate II to function as a Quality Control Case Reviewers, who will:
- Review POS, HRA One Viewer of imaged/scanned documents, Welfare Management System (WMS) data and other pertinent...
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Local area
...Division, Architecture & Engineering Unit seeks an Electrical Design Reviewer.
The duties for this position will include, but are not... ...and/or review of consultant drawings and specifications (utilizing Blue-Beam), site inspection and reports, ad hoc technical investigations...
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...Acuity team which includes supporting, coordinating, managing and participating in document reviews at the direction of FTI clients. As part of their role, this position will utilize various platforms including Relativity, Nuix Discovery and Reveal/Brainspace.
The...
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...research and support using online tools
What you’ll do:
Utilize defined practices, procedures, and company policies to provide... ...organizing, and entering data in federal and state tax returns for review
Schedule customer meetings and follow-up when needed,...
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Care Review Clinician
Remote: New York, New York, US
Salary: $45.00... ...license or Licensed Practical Nurse in good standing.
Conduct utilization management review of prior authorization requests, refer...
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...sustaining high quality care/service delivery to persons served, the Utilization Manager works to assist CASAC Counselors and supervisory staff... ...assuring compliance with external and internal utilization review/quality and appropriateness requirements
The Utilization...
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Full time
Monday to Friday
...independent initiative and judgment, the Medicaid Eligibility Specialist is responsible for interviewing Medicaid applicants and reviewing their documentation to determine eligibility for Medicaid.
The Office of Constituent Services (OCS) is seeking (1) Eligibility...
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Work experience placement
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...what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of Coding, HIM (Health Information Management). The DRG Reviewer oversees...
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Full time
Work experience placement
...PURPOSE:
Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with... ...and coordinates with the Provider/IDT for appropriate utilization of services
* Documents case reviews, associated communications...
Flexible hours
...single day? We want to offer you competitive pay, a generous benefits package, and opportunities for advancement.
As leaders in the utility industry concentrating, on quality and safety, RECONN is looking for people to join our team who are problem solvers, take pride in...
Daily paid
Holiday work
Full time
Outdoor
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...Raul Martinez
HR Rep: Heather Stoveken
SUMMARY
The Utility position is an hourly position, and reports to the Production Shift... ...person authorized to give instructions or assignments.
A review of this position has excluded the marginal functions of the position...
Hourly pay
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Night shift
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...pollution. DEP is the largest combined municipal water and wastewater utility in the country, with nearly 6,000 employees. DEP's water supply... ...and Accounting, Large Payments and Accounting, Contract Review & Negotiations Unit, and Scope/Specifications Review Unit.
The...
Contract work
...clinical license.**
**Position Purpose:** Performs clinical reviews needed to resolve and process appeals by reviewing medical records... ...Medicare and Medicaid regulations preferred.
Knowledge of utilization management processes preferred.
**License/Certification:**...
Hourly pay
Holiday work
Remote job
Flexible hours
